| NPI | 1942984430 |
|---|---|
| Doing Business As | AWESOME DENTAL |
| Entity Type | Organization |
| Authorized Contact | OLGA KVITKINA Owner/Dentist 918-606-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |